Conflicting results of robot-assisted versus usual gait training during postacute rehabilitation of stroke patients: a randomized clinical trial
Articolo
Data di Pubblicazione:
2015
Citazione:
Conflicting results of robot-assisted versus usual gait training during postacute rehabilitation of stroke patients: a randomized clinical trial / G. Taveggia, A. Borboni, C. Mulé, J.H. Villafañe, S. Negrini. - In: INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH. - ISSN 0342-5282. - 39:1(2015), pp. 29-35. [10.1097/MRR.0000000000000137]
Abstract:
Robot gait training has the potential to increase the effectiveness of walking therapy. Clinical outcomes after robotic training are often not superior to conventional therapy. We evaluated the effectiveness of a robot training compared with a usual gait training physiotherapy during a standardized rehabilitation protocol in inpatient participants with poststroke hemiparesis. This was a randomized double-blind clinical trial in a postacute physical and rehabilitation medicine hospital. Twenty-eight patients, 39.3% women (72 +/- 6 years), with hemiparesis (< 6 months after stroke) receiving a conventional treatment according to the Bobath approach were assigned randomly to an experimental or a control intervention of robot gait training to improve walking (five sessions a week for 5 weeks). Outcome measures included the 6-min walk test, the 10 m walk test, Functional Independence Measure, SF-36 physical functioning and the Tinetti scale. Outcomes were collected at baseline, immediately following the intervention period and 3 months following the end of the intervention. The experimental group showed a significant increase in functional independence and gait speed (10 m walk test) at the end of the treatment and follow-up, higher than the minimal detectable change. The control group showed a significant increase in the gait endurance (6-min walk test) at the follow-up, higher than the minimal detectable change. Both treatments were effective in the improvement of gait performances, although the statistical analysis of functional independence showed a significant improvement in the experimental group, indicating possible advantages during generic activities of daily living compared with overground treatment.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
gait training; stroke; robotics; hemiparesis
Elenco autori:
G. Taveggia, A. Borboni, C. Mulé, J.H. Villafañe, S. Negrini
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